Reta Renee Hatton, OTD, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT61191268 Issued in WA

Practice address

528 E Spokane Falls Blvd Ste 29B
Spokane, WA 99202-5904

Phone

(509) 435-0481

NPI assigned

Aug 23, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Inland Pelvic Health & Physical Therapy, LLC

  • Physical Therapist
  • Hayden, ID
  • NPI 1215576640
  NPD
• Physioone

  • Physical Therapist
  • Hayden, ID
  • NPI 1659642775
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1295402857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 E SPOKANE FALLS BLVD STE 29B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025904",
            "telephone_number": "509-435-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 E SPOKANE FALLS BLVD STE 29B",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025904",
            "telephone_number": "509-435-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTON",
        "first_name": "RETA",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT61191268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Spokane",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "528 E Spokane Falls Blvd Ste 29B",
            "city": "Spokane",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992025904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael R. Hathaway, M.F.
• Natasha Ann Hathaway
• Ryan J Hathaway, L.M.P.
• Stephen R. Hathaway, D.C.
• Kirsten H Hatton, OTR/L
• Hauck & Freuen PLLC (Spokane Oral Surgery)
• Terrance Leo Hauck, M.D.,D.D.S.
• Wendy Ricouard Hauck, LMHCA
• Anna Haugen, BSN, RN
• Brittany C Haugen, LMHC

• Pediatric Occupational Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Pediatric Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.